Brocklyn N Carson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2026006579 Issued in MO

Practice address

33 Gage Dr
Hollister, MO 65672-5862

Phone

(417) 605-7100

Fax

(417) 708-0889

NPI assigned

Mar 26, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1487593414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GAGE DR",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725862",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 NE Colbern Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640864710",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2673 E Sawyer Rd",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657387574",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 W Elfindale St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658071295",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4722 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044411",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2864 S Nettleton Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075970",
            "country_code": "US",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "BROCKLYN",
        "middle_name": "N",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2026006579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Carlin, LMSW
• Community Christian Counseling
• Christina Milynnne Cory
• Judith Jean Crites-Lutz, L.P.C.
• Elysian Medical Center 1 - Hollister LLC
• Danielle R Fairbanks

• Occupational Therapist in Hollister, MO
• Providers in Hollister, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.